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Folic Acid+vitamin B12+nicotinamide

About

Folic Acid+nicotinamide+vitamin B12 belongs to the class of 'nutritional supplements', primarily used to treat nutritional deficiencies. It is used to treat and prevent niacin deficiency (pellagra), folate deficiency, and vitamin B12 deficiency. Nutritional deficiency occurs when the body is unable to absorb or get enough nutrients from food. It could lead to various health problems, including defective bone growth, skin disorders, digestive issues, and dementia (memory loss).

Folic Acid+nicotinamide+vitamin B12 contains Folic acid, Vitamin B12 (Methylcobalamin/Mecobalamin), and Nicotinamide (vitamin B3). Folic acid is the synthetic form of folate. Folate is a water-soluble Vitamin B naturally found in food sources. It helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Vitamin B12 regulates body functions, such as cell multiplication, blood formation, and protein synthesis. Nicotinamide (also known as Niacinamide) is a form of vitamin B3 (niacin). It helps in replenishing the energy in the body cells and provides essential nutrients.

Your doctor will decide the dosage based on your medical condition. Sometimes, Folic Acid+nicotinamide+vitamin B12 may have common side effects like nausea, upset stomach, and diarrhoea. These side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please reach out to your doctor.

Let your doctor know if you use any other medicines and herbal products before starting Folic Acid+nicotinamide+vitamin B12. If you are allergic to Folic Acid+nicotinamide+vitamin B12 or its inactive components, please inform your doctor. If you are a pregnant or breastfeeding mother, please consult your doctor before taking Folic Acid+nicotinamide+vitamin B12. Folic Acid+nicotinamide+vitamin B12 does not interfere with your driving ability. It is advised to limit or avoid alcohol intake to get maximum absorption of vitamins from the supplement.

Uses of Folic Acid+vitamin B12+nicotinamide

Nutritional deficiencies.

Medicinal Benefits

Folic Acid+nicotinamide+vitamin B12 is used to treat nutritional deficiencies. It contains Folic acid, Vitamin B12, and Nicotinamide. Folic acid is the synthetic form of folate. Folate is a water-soluble Vitamin B naturally found in food sources. It helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Vitamin B12 regulates body functions, such as cell multiplication, blood formation, and protein synthesis. It is used in alcoholic neuropathy, pernicious anaemia, diabetic neuropathy (nerve damage due to high blood sugar levels), and multiple sclerosis (immune system disease affecting the brain). Nicotinamide (also known as Niacinamide) is a form of vitamin B3 (niacin). It helps in replenishing the energy in the body cells and provides essential nutrients.

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water. Do not crush, chew or break it. Oral Liquid/Drops: Shake the bottle well before use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Folic Acid+vitamin B12+nicotinamide

  • Nausea
  • Upset stomach
  • Diarrhoea

In-Depth Precautions and Warning

Drug Warnings

Let your doctor know if you have a medical history of bleeding problems (low platelets), blood disorders (pernicious anaemia), diabetes, gout, liver/kidney diseases, and stomach ulcers before starting Folic Acid+nicotinamide+vitamin B12. Pregnant women are advised to consult their doctor before taking Folic Acid+nicotinamide+vitamin B12. Folic acid is excreted into breast milk; hence, breastfeeding mothers should consult their doctor before starting Folic Acid+nicotinamide+vitamin B12. It is not recommended to consume alcohol while being treated with Folic Acid+nicotinamide+vitamin B12 since excessive alcohol consumption reduces the absorption and increases the elimination of folic acid.

Drug Interactions

Drug-Drug Interaction: Folic Acid+nicotinamide+vitamin B12 may interact with blood thinners (warfarin), antibiotics (chloramphenicol, tetracycline), gout medicine (colchicine), anti-diabetics (metformin), anti-ulcer drugs (cimetidine, omeprazole), anti-cancer drugs (methotrexate), fits medicines (phenytoin), chemotherapy medicines (raltitrexed), and antiparasitics (pyrimethamine).

Drug-Food Interaction: Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Folic Acid+nicotinamide+vitamin B12.

Drug-Disease Interaction: Inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food), bleeding disorders, diabetes, gout, liver/kidney diseases, stomach ulcers, and allergic reactions to medicines before starting Folic Acid+nicotinamide+vitamin B12.

Drug-Drug Interactions Checker List:

  • WARFARIN
  • CHLORAMPHENICOL
  • TETRACYCLINE
  • COLCHICINE
  • METFORMIN
  • CIMETIDINE
  • OMEPRAZOLE
  • METHOTREXATE
  • PHENYTOIN
  • PYRIMETHAMINE
  • RALTITREXED
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Excessive alcohol consumption reduces absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Folic Acid+nicotinamide+vitamin B12.

    • Safety Warning

      Pregnancy

      caution

      Folic Acid+nicotinamide+vitamin B12 should be used during pregnancy only when advised by your doctor. Let your doctor know if you are pregnant or planning to conceive before taking Folic Acid+nicotinamide+vitamin B12.

    • Safety Warning

      Breast Feeding

      caution

      Folic acid is excreted into breast milk. Please consult your doctor before taking Folic Acid+nicotinamide+vitamin B12 if you are a breastfeeding mother.

    • Safety Warning

      Driving

      not applicable

      Folic Acid+nicotinamide+vitamin B12 is usually safe and does not alter your ability to drive. However, do not drive or operate machinery if you are not mentally alert and focused or notice any tiredness.

    • Safety Warning

      Liver

      caution

      Let your doctor know if you have any history of liver diseases before taking Folic Acid+nicotinamide+vitamin B12.

    • Safety Warning

      Kidney

      caution

      Let your doctor know if you have any history of kidney diseases before taking Folic Acid+nicotinamide+vitamin B12.

    • Safety Warning

      Children

      caution

      The doctor will decide the dosage of Folic Acid+nicotinamide+vitamin B12 based on the child's age and weight.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, salmon, shellfish, oysters, clams, dark green vegetables, such as spinach and kale, beets, avocados, potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.
    • Try folate-rich food sources like broccoli, Brussels sprouts, leafy green vegetables, cabbage, kale, spring greens, spinach, peas, chickpeas, kidney beans, and breakfast cereals fortified with folic acid.
    • Sprinkle sunflower seeds over your food, vegetables and salads. 
    • Include fruits like citrus, banana, and watermelon in your diet.
    • Avoid smoking and alcohol consumption.
    • Exercise regularly and maintain a healthy lifestyle. Avoid excess fatty foods. 

    Special Advise

    • Clinical monitoring of folic acid and vitamins B levels through blood examinations is recommended.
    • Regularly monitor your blood sugar levels since Nicotinamide in Folic Acid+nicotinamide+vitamin B12 may alter blood glucose levels in diabetic patients.

    Patients Concern

    Disease/Condition Glossary

    Nutritional deficiencies: A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. Vitamins and minerals are necessary for body development and the prevention of diseases. Nutrient deficiency can lead to many health problems like a weakened immune system, skin problems, digestion problems, defective bone growth, and neurological diseases. 

    FAQs

    Folic Acid+nicotinamide+vitamin B12 is a dietary supplement and consists of Folic acid, Vitamin B12 (Mecobalamin), and Nicotinamide. When you lack these vitamins in your body, which cannot be recovered even with the food sources, Folic Acid+nicotinamide+vitamin B12 helps replenish these deficient levels and treat the associated disease conditions. Collectively, Folic Acid+nicotinamide+vitamin B12 treats nutritional deficiencies.

    Vitamin B12 deficiency is caused when you don't have enough Methylcobalamin or Mecobalmin levels in your body. You can include natural Vitamin B12 sources like eggs, beef, liver, chicken, trout, salmon, tuna fish, clams, fortified breakfast cereal, low-fat milk, yoghurt, and cheese in your diet for treating the deficiency. If you still have low levels of B12, please consult your doctor for its supplements.

    Nicotinamide in Folic Acid+nicotinamide+vitamin B12 may alter your blood sugar levels. Hence, it is advised to consult your doctor before starting Folic Acid+nicotinamide+vitamin B12 if you have diabetes.

    If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage.

    Available Medicines for

    Folic Acid+vitamin B12+nicotinamide

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